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Have total bilirubin count of 2.32. Cause of concern?

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General Surgeon
Practicing since : 2008
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how high is a total bilirubin count of 2.32 also how can it go
Posted Wed, 3 Jul 2013 in Diabetes
Answered by Dr. Grzegorz Stanko 31 minutes later

Thank you for the query.

Total bilirubin count referential ranges are 0,2 – 1,1 mg/dl (3,42 – 20,6 µmol/l). I assume that your bilirubin level is 2,32 mg/dl. This is quite high level. It should be diagnosed and the reason should be found.

The most common reasons of elevated bilirubin level are:
- bile ducts obstruction due to stones (causes upper right abdominal pain radiating to the back, nausea, white stool and dark urine)
- pancreas cancer (white stool, dark urine)
- fatty liver, liver cirrhosis (normal or bright stool, dark urine)
- liver viral infection (HBV or HCV) - more possible if you have had any blood transfusions or surgeries (dark urine)
- liver damage due to medicines intake
- red blood cells hemolysis
- Gilberts syndrome (elevated bilirubin level can be the only symptom)

I suggest you to visit gastroenterologist and have proper diagnostics. Liver tests (AST,ALT,GGTP,AP), amylase, direct and indirect bilirubin level, HbSAg, AntiHCV and abdominal ultrasound should be done at first.

Hope this will help. Feel free to ask further questions.
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